341例住院患者医嘱不合理用药分析  

Analysis on Irrational Drug Use in 341 Inpatient Medical Orders

作　　者：任昭[1] 弟红兵[1] 谢清[1] 邹立新[1] 

机构地区：[1]航天中心医院药剂科,北京100049

出　　处：《中国医院用药评价与分析》2016年第7期968-971,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解航天中心医院(以下简称"我院")住院患者医嘱不合理用药情况,促进临床合理用药。方法:采用回顾性分析方法,统计我院2014年1月—2015年12月27 573例住院患者医嘱用药情况,对不合理用药进行分析。结果:共341例住院患者的医嘱用药不合理,涉及170种药品,其中抗感染药为最多(36种,占21.18%),其次分别为消化系统用药,营养药、酶制剂和调节水、电解质及酸碱平衡药,心血管系统用药等;不合理用药类型主要为药品用法不适宜(105例,占30.79%),其次分别为存在配伍禁忌或不良相互作用、剂量不适宜、重复用药等。结论:临床药师应进一步加强对住院医嘱的审查,及时发现不合理用药并及时反馈给临床医师,确保患者的用药安全。OBJECTIVE： To investigate the irrational drug use in inpatient medical orders in Aerospace Center Hospital（ hereinafter referred to as ＂our hospital＂）,so as to promote the rational drug use in clinic. METHODS： By retrospective analysis method,27 573 inpatient medical orders from Jan. 2014 to Dec. 2015 were statistically collected,and the irrational drug use was analyzed. RESULTS： Totally 341 inpatient medical orders were irrational,170 drugs were involved,among which anti-infectious drugs took the lead（ 36,21. 18%）,followed by digestive system drugs,nutriceutical drugs,enzymic preparations and regulation water,electrolyte and acid-base balance drugs,cardiovascular system drugs,etc.. The types of irrational application were mainly improper usage（ 105 cases,30. 79%）,followed by incompatibility,adverse drug interactions,improper dosage and repeated medication,etc..CONCLUSIONS： The clinical pharmacists should further strengthen the review of inpatient prescriptions so as to find out the irrational phenomenon and give timely feedback to the clinicians,and ensure the medication safety for patients.

关 键 词：住院医嘱 合理用药 分析 

分 类 号：R969.3[医药卫生—药理学]